Rental Housing Needs and Barriers From the Perspective of Veterans With Disabilities

Semeah, Luz Mairena; Ahrentzen, Sherry; Cowper-Ripley, Diane; Santos-Roman, Leslie M.; Beamish, Julia O.; Farley, Kristine

doi:10.1080/10511482.2018.1543203

Cited by 12 publications

(13 citation statements)

References 17 publications

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“…Our findings are generalizable from the Veteran experiencing housing insecurity population to the homeless and housing insecure population as the needs for both are similar. [29][30][31] Our findings are a call to action for permanent supportive housing programs and clinicians to incorporate ADRD support services and staff training. This would be to stave off nursing home admissions and bolster housing stability once a person experiencing homelessness received housing.…”

Section: Strengthsmentioning

confidence: 79%

Risk of dementia among veterans experiencing homelessness and housing instability

Roncarati,

DeVone,

Halladay

et al. 2023

J American Geriatrics Society

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BackgroundIn the United States, nearly 85,000 Veterans experienced homelessness during 2020, and thousands more are experiencing housing instability, representing a significant proportion of the population.1 Many Veterans experiencing homelessness are aging and have complex co‐occurring medical, psychiatric, and substance use disorders. Homelessness and older age put Veterans at greater risk for age‐related disorders, including Alzheimer's disease and related dementias (ADRD).MethodsWe examined the rate of ADRD diagnosis for Veterans experiencing homelessness and housing instability compared to a matched cohort of stably housed Veterans over a nine‐year period using cox proportional hazard models.ResultsIn the matched cohort, 95% (n = 88,811) of Veterans were men, and 67% (n = 59,443) were White and were on average 63 years old (SD = 10.8). Veterans with housing instability had a higher hazard of 1.53 (95% confidence interval (CI) 1.50, 1.59) for ADRD compared to Veterans without housing instability.ConclusionsVeterans experiencing housing instability have a substantially higher risk of receiving an ADRD diagnosis than a matched cohort of stably housed Veterans. Health systems and providers should consider cognitive screening among people experiencing housing insecurity. Existing permanent supportive housing programs should consider approaches to modify wraparound services to support Veterans experiencing ADRD.

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Section: Strengthsmentioning

confidence: 79%

Risk of dementia among veterans experiencing homelessness and housing instability

Roncarati,

DeVone,

Halladay

et al. 2023

J American Geriatrics Society

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“…Among the (33/60) studies describing the gender composition of their samples, 14 involved women majority samples [ 8 , 46 , 49 , 50 , 65 , 69 , 72 – 79 ], nine had men majority samples [ 43 , 46 , 67 , 68 , 80 – 84 ] and 10 had approximately equal gender representation [ 51 , 66 , 71 , 78 , 79 , 85 – 89 ]. Among the few studies (7/60) describing the racial or ethnic composition of their samples, six included a majority of white participants [ 50 , 72 , 77 , 81 , 86 , 90 ] and one had a mixed ethnic representation [ 82 ]. Ages of the samples ranged considerably with 17 focusing on elderly/older adults [ 46 , 53 , 66 , 68 – 70 , 73 , 74 , 76 , 78 , 80 , 81 , 83 , 87 , 91 – 93 ], 12 examined adults [ 8 , 43 , 49 , 65 , 71 , 72 , 75 , ...…”

Section: Resultsmentioning

confidence: 99%

Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Lindsay,

Fuentes,

Ragunathan

et al. 2024

PLoS ONE

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Background Accessible housing is imperative to enabling independent living for many people with disabilities; yet, research consistently shows how people with disabilities often lack appropriate accessible housing and are more likely to experience unaffordable, insecure, and/or poor quality housing. Therefore, the aim of this study was to understand promising practices, policies and interventions regarding accessible independent housing for people with disabilities. Methods We conducted a scoping review that involved searching seven international literature databases that identified 4831 studies, 60 of which met our inclusion criteria. Results The reviewed studies involved 18 countries over a 20-year period. Our review highlighted the following key trends: (1) removing barriers to obtaining accessible housing (e.g., advocacy, builders enhancing housing supply, subsidies and financial incentives); (2) policies influencing accessible housing; (3) interventions to enhance accessible housing (i.e., home modifications, smart homes, mobile applications and other experimental devices); and (4) the impact of accessible independent housing on health and wellbeing. Conclusions Our findings emphasize the importance of accessible housing for people with disabilities and the urgent need to advance accessible housing options.

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“…Therefore, programs should include appropriate outreach and inclusion of diverse race/ethnic groups. In our previous study on housing needs of veterans with disabilities, minority veterans often stated HM and accessibility needs for them were overlooked (Semeah et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Medical care provided at home is significantly less expensive than the provision of care in a hospital setting ($6,570 vs. $56,353), and there is a strong impetus to make home settings safe and accessible to the elderly population and individuals with disabilities (Joint Center for Housing Studies [JCHS], 2021[JCHS], , 2019. Home accessibility provides psychological and other benefits, such as improved social interactions and the ability to perform activities of daily living and to interact with the home environment (Bo'sher et al, 2015;JCHS, 2019;Semeah et al, 2019). Home modification (HM) allows veterans to remain in their homes rather than having to enter an inpatient setting through retrofitting the physical environment by including features such as ramps or grab bars that are supportive and conducive to using the home environment.…”

mentioning

confidence: 99%

Rural and Urban Home Modification Program Users: A Comparative Study

Semeah

Orozco

Wang

et al. 2023

HERD

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Objective: To understand the sociodemographic, geographical, and clinical characteristics of rural veterans utilizing home modification (HM) healthcare services under the Home Improvement Structural Alterations (HISA) program, to compare these characteristics between rural and urban veteran users, to estimate the costs of HMs performed, and to present distance that users traveled to HISA-prescribing medical facilities within the Veterans Health Administration (VHA). Background: Accessible housing is in short supply. HMs allow veterans with disabilities (VWDs) to remain living at home rather than enter institutional-type settings. HISA is associated with decreased inpatient hospitalization rates and increased use of preventative healthcare via outpatient clinic visits. Home accessibility provides psychological benefits improving social interactions and interaction with the physical environment. Methods: This retrospective database study analyzes data from the National Prosthetics Patient Database and other medical datasets within the VHA. Results: Results provide a profile of and comparison between rural and urban veteran users. HISA users are substantially older compared to younger VWDs. The frequency of bathroom, railing, and wooden ramp HMs differed significantly between rural and urban users ( p values < .001). Rural users traveled more miles than urban users to reach a prescribing facility. Conclusions: Older adults and individuals with disabilities have unmet housing needs since accessible housing is in short supply. This HM healthcare service is helping to meet the housing accessibility needs of older veterans, VWDs, older adults, and people with disabilities, in general.

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Rental Housing Needs and Barriers From the Perspective of Veterans With Disabilities

Cited by 12 publications

References 17 publications

Risk of dementia among veterans experiencing homelessness and housing instability

Risk of dementia among veterans experiencing homelessness and housing instability

Accessible independent housing for people with disabilities: A scoping review of promising practices, policies and interventions

Rural and Urban Home Modification Program Users: A Comparative Study

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